Name

Email

Type of Request

Travel Request

Please consult the GIX Travel Guidelines (pdf) prior to completing this form.

Team:
Destination:
Traveler(s):
Departure Date:
Return Date:
Purpose of Travel:
Total Budget:
Itemized Budget (Allowable costs include airfare, food per diem, ground transportation, lodging costs, mileage):

Please describe any personal travel you will take and/or courses you will miss, as well as specific steps you will take to ensure you do not fall behind:

Attach pdf confirmation or travel/details (e.g. talk acceptance, registration form, invitation)